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Related Concept Videos

Nursing Interventions I: Taxonomy of Nursing Interventions01:03

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Nursing interventions are chosen as part of the planning process to achieve patient outcomes. Once nursing diagnoses are determined, the goals and outcomes are specified, then the nursing interventions are selected and individualized according to the patient's situation.
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Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
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Endotracheal tube extubation is a critical procedure in weaning patients from mechanical ventilation. It involves physically removing the oral or nasal endotracheal (ET) tube, marking the final step in liberating a patient from ventilatory support.
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Electroconvulsive therapy (ECT), or shock therapy, remains a critical biomedical intervention for severe, treatment-resistant depression. While its origins can be traced back to Hippocrates' observations that malaria-induced convulsions alleviated mental illness, modern ECT has evolved significantly from its earlier, more primitive applications. First introduced in 1938 by Ugo Cerletti and his colleagues, ECT involves inducing controlled seizures using electrical currents. In its early...
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Reinterventions after TEVAR.

Rajeev Thilak Chellasamy1, Murali Krishnaswami2

  • 1Institute of Cardiac and Aortic Disorders, SIMS Hospital, Chennai, 600026 India.

Indian Journal of Thoracic and Cardiovascular Surgery
|December 14, 2023
PubMed
Summary

Thoracic endovascular aortic repair (TEVAR) offers an alternative to open surgery for aortic conditions. Long-term graft patency remains a concern, prompting a review of re-intervention rates and influencing factors after TEVAR.

Keywords:
AortaAortic aneurysmAortic dissectionEndovascular aortic surgeryTEVAR

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Medical Technology

Background:

  • Thoracic endovascular aortic repair (TEVAR) is an alternative to open surgery for degenerative thoracic aortic aneurysms and dissections.
  • Advancements in graft design and imaging have increased TEVAR's applicability.
  • Long-term graft patency after TEVAR is a significant clinical concern.

Purpose of the Study:

  • To review the existing literature on re-intervention following TEVAR.
  • To identify and analyze factors that impact the rate of re-intervention after TEVAR procedures.

Main Methods:

  • Comprehensive literature search of studies reporting re-intervention after TEVAR.
  • Analysis of factors influencing re-intervention rates, including graft type, patient anatomy, and procedural complications.

Main Results:

  • Re-intervention rates vary across studies, influenced by specific TEVAR devices and patient populations.
  • Factors such as endoleak, graft migration, and disease progression are associated with increased re-intervention.
  • Technological improvements in grafts and imaging aim to reduce long-term complications.

Conclusions:

  • While TEVAR is a valuable treatment, long-term graft durability and the need for re-intervention require ongoing monitoring.
  • Understanding factors influencing re-intervention is crucial for optimizing patient selection and procedural outcomes.
  • Further research is needed to improve long-term TEVAR graft patency and reduce re-intervention rates.